Individual provider Active NPI

Umal Azmat, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Kissimmee, FL
National Provider Identifier
1417260803
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME162629 Issued in FL
Practice address
204 W Oak St
Kissimmee, FL 34741-4420
Phone
(407) 962-4447
Fax
(317) 630-2667
NPI assigned
Jul 14, 2010
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME162629 FL Primary

Addresses

Primary practice location

204 W Oak St
Kissimmee, FL 34741-4420

Mailing address

1001 W 10TH St
M200
Indianapolis, IN 46202-2859
Phone (317) 656-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230704000137 FL Practitioner - Endocrinology 2062641343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute of Endocrinology Diabetes Health and HormonesGroup PAC ID 8729300454, 32 clinicians

Practice addresses (Care Compare)

204 W Oak St
Kissimmee, FL 34741-4420
Phone (850) 522-5490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Endocrinology Diabetes Health and Hormones Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2023 Accepting new patients
Osceola Endocrine Consultants, Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

100 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 574-0792

204 W Oak St
Kissimmee, FL 34741
Phone (407) 962-4447

633 E Baldwin Rd
Panama City, FL 32405
Phone (850) 522-5490

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1417260803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W 10TH ST",
            "address_2": "M200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022859",
            "telephone_number": "317-656-4260",
            "fax_number": "317-630-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414420",
            "telephone_number": "407-962-4447",
            "fax_number": "317-630-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMAT",
        "first_name": "UMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME162629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.